Organization
THE STOP & SHOP SUPERMARKET COMPANY LLC
Active
Other names
STOP AND SHOP PHARMACY 829
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER WHEELER (PRESIDENT)
(617) 689-4130
Entity
Organization
Contact information
Practice address
816 FRANKLIN AVE, FRANKLIN LAKES, NJ 07417-1311
(201) 891-8706
(201) 891-8712
Mailing address
816 FRANKLIN AVE, FRANKLIN LAKES, NJ 07417-1311
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
5853
NJ
333600000X
Pharmacy
5853
NJ
3336C0003X
Community/Retail Pharmacy
Primary
5853
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3143372
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
8713804
—
NJ
Enumeration date
07/07/2006
Last updated
09/18/2025
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